Toddlers Peds Questions and Answers rated A
A parent asks the nurse what to do when the toddlerhood but also engages in solitary play.
toddler has temper tantrums. What play materials
should the nurse suggest that the child be
offered as another means of expressing anger? Which of these diseases would the nurse explain
1 is most common in toddlers?
Ball and bat 1
2 Influenza
Wad of clay 2
3 Lung cancer
Punching bag 3
4 Hypertension
Pegs and pounding board - -4 4
A pounding board with pegs to hammer into Angina pectoris - -1
holes is a safe toy for toddlers because it is fairly Toddlers are very prone to developing upper
large, easy to manipulate, and sturdy. It also respiratory tract infections; hence, influenza is
provides an acceptable way for anger to be seen most frequently among toddlers. Lung
expressed. The child's motor and hand-eye cancer is seen commonly in younger or middle-
coordination are too immature for the child to use aged adults from smoking. Hypertension is
a ball and bat. A wad of clay is not as effective commonly seen in middle age due to an
for releasing anger as a pounding board. A unhealthy diet, lack of exercise, and stress.
punching bag is appropriate for an older child Angina is common in young and middle-aged
with more mature motor coordination to adults.
compensate for a moving object.
A nurse teaches the mother of a 2-year-old child
Which statement would the nurse state is true for who has celiac disease which foods to avoid.
toddlers? Which foods identified by the mother indicate that
1 she understands the teaching?
The incidence of poisoning is very common in 1
toddlers. Bacon and eggs
2 2
An 18-month-old child uses approximately up to Macaroni and cheese
300 words. 3
3 Tuna salad and rice cakes
The average toddler gains 2 to 3 pounds (0.9 to 4
1.4 kg) each year. Chicken leg and corn on the cob - -2
4 Children with celiac disease cannot digest the
Toddlers prefer to engage in parallel play rather gliadin component of gluten. Foods containing
than in solitary play. - -1 grains such as wheat, rye, oats, and barley
Poisonings occur frequently because children of should be avoided; macaroni is contraindicated
around 2 years of age place objects or because it is a wheat product. Bacon and eggs,
substances in their mouths to learn about them. tuna and rice cakes, and chicken and corn are
The 18-month-old child uses approximately 10 gluten-free foods.
words. A toddler gains approximately 5 to 7
pounds (2.3 to 3.2 kg) each year. The toddler
begins to engage in parallel play during Which pain scale should a nurse use to measure
,Toddlers Peds Questions and Answers rated A
the intensity of pain in toddlers? 1
1 Viewing violent programs is positively correlated
FACES scale with the development of aggression.
2 2
Visual analogue scale The nurse is interested in how much time the
3 mother spends in interactions with the child.
Numerical rating scale 3
4 Watching Sesame Street and other children's
Verbal descriptor scale - -1 shows results in slow cognitive development.
The nurse should use a FACES scale to 4
measure the intensity of pain in children. The There is a direct connection between the number
scale consists of six cartoon faces ranging from a of hours of television viewed and toddler
smiling face ("no hurt") to increasingly less happy aggression. - -1
faces and finally to a sad, tearful face ("hurts Watching violent programs is positively correlated
worst"). The visual analogue scale, numerical with the development of aggression. Television
rating scale, and verbal descriptor scale can be viewing time does not necessarily have anything
used in young children and adults. to do with interaction time with the mother.
Children's shows have not been shown to slow
cognitive development. There are no statistics
Which Korotkoff sound represents the diastolic stating specifically that the number of hours of
blood pressure in toddlers? television watched correlates directly with an
1 intensification of aggression.
First
2
Third What does the nurse explain happens during the
3 transition from infanthood to toddlerhood?
Fourth 1
4 Reduced activity levels
Fifth - -3 2
The fourth Korotkoff sound is muffled and low. Increased need for fats
This sound is the diastolic pressure in toddlers. 3
The first Korotkoff sound is sharp and represents Increased food choices
systolic blood pressure. The third Korotkoff 4
sound is crispier and includes intense tapping. Reduced need for sleep - -4
The fifth Korotkoff sound marks the As the infant enters the toddler stage, the need
disappearance of sound. In adolescents and for sleep declines and the activity level increases.
adults the fifth sound corresponds with the Toddlers need less fat and more proteins.
diastolic pressure. Children establish lifetime eating habits during
toddlerhood, and there is increased emphasis on
food choices.
A 3-year-old child has been observed in the clinic
waiting room taking toys from others, tearing
pages out of books, and striking the mother. The A toddler on the pediatric unit is required to have
nurse takes time when interviewing the mother to temporary dietary restrictions after colorectal
ask about television habits because of what surgery. What is the best way for the nurse to
reason? promote adherence to the restrictions?
,Toddlers Peds Questions and Answers rated A
1 fibrosis may eat regular meals at the usual times.
By limiting restrictions to nonessential foods
2
By handling dietary changes in a matter-of-fact A 13-month-old child is admitted with a tentative
way diagnosis of bacterial meningitis, and the
3 practitioner schedules a lumbar puncture. What is
By having the dietitian explain the restrictions to the most important action the nurse should take
the parents in preparation for the lumbar puncture?
4 1
By arranging to have an adult other than a parent Asking the parents what they were told about the
stay at mealtime - -2 test
Toddlers are ritualistic and do not tolerate 2
change well; any change in diet should be done Using a doll to demonstrate the procedure to the
matter of factly. Because of their characteristic child
struggle for autonomy, toddlers should not be 3
forced to eat. Limited restrictions on nonessential Obtaining a pacifier for the child to suck on during
foods are not always possible. Although the the procedure
parents should consult with the dietitian, this will 4
not affect the toddler's response to the dietary Telling the parents that they may stay with their
restrictions. The toddler is still dependent on the child during the test - -1
parents and therefore will respond better to them Informed consent is required. The procedure
than to a stranger should be explained to the parents by the
practitioner, and the nurse should confirm the
parents' comprehension and have them sign the
What is an important nursing intervention in the consent form. The child is too young to
care of a hospitalized toddler with cystic fibrosis? comprehend a demonstration of the procedure.
1 Although staying with the child may be important
Discouraging coughing to the parents, it is not the priority. Although a
2 pacifier may keep the child calm, this is not the
Performing postural drainage priority, either.
3
Encouraging active exercise
4 What does the nurse educate the mother of a
Providing small, frequent feedings - -2 toddler to do in order to promote safety?
Because the mucus glands secrete thick mucoid 1
secretions that accumulate, reducing ciliary "Throw plastic grocery bags away."
action and mucus flow, the nurse should perform 2
postural drainage, which promotes the removal "Fill the crib with large, stuffed toys."
of mucopurulent secretions by means of gravity. 3
Coughing should be encouraged; it helps bring "Put pacifiers around the neck of the toddler."
up secretions from the respiratory tract. Although 4
the nurse should encourage activities that are "Place the toddler to sleep on his or her back." -
appropriate for the child's physical capacity, the -1
child's energy should be conserved during acute The nurse educates the mother of a toddler to
phases of illness. Providing small, frequent remove plastic grocery or other bags from from
feedings is not necessary; the child with cystic the house to reduce the risk of suffocation. The
, Toddlers Peds Questions and Answers rated A
nurse should instruct the mother not to fill the crib months, 24 months, or 30 months.
with stuffed toys as there is an increased risk of
suffocation. Putting pacifiers around the neck of
the child attached with a string increases the risk What is the cause of milk anemia in toddlers?
of choking. The nurse should tell the mother to 1
place a newborn on his or her back to sleep; it Drinking skim milk
reduces the risk of sudden infant death 2
syndrome. Drinking whole milk
3
Increased milk intake
The parents of a toddler with newly diagnosed 4
cystic fibrosis (CF) tell a nurse that even though Increased intake of fruits - -3
they were told it is an inherited disorder, there is Toddlers who consume more than 24 ounces of
no history of CF in the family. How can the nurse milk daily in place of other foods sometimes
clarify the way in which the disease was develop milk anemia because milk is a poor
inherited? source of iron. Children are usually not offered
1 low-fat or skim milk until age 2 because they
It is a mutated gene. need the fat for satisfactory physical and
2 intellectual growth. Toddlers need to drink whole
It involves an X-linked gene. milk until the age of 2 years to make sure that
3 there is adequate intake of fatty acids necessary
The inheritance is autosomal recessive. for brain and neurological development. Other
4 solid food items are necessary for healthy growth
The inheritance is autosomal dominant. - - and development in toddlers.
3
Both parents are carriers; the gene for CF is
recessive, not dominant, and the parents do not Which of these statements about language
have the disease. The gene for CF is not a development in children ages 12 to 36 months
mutant gene, nor is it located on the X or Y are true? Select all that apply.
chromosome. 1
24-month-old children use pronouns.
2
Which age should the nurse anticipate that a 18-month-old children use approximately 25
toddler-age client will begin to develop words.
awareness of ownership? 3
1 24-month-old children speak in four-word
15 months sentences.
2 4
18 months 24-month-old children have a vocabulary of up to
3 500 words.
24 months 5
4 36-month-old children learn to use five or six new
30 months - -2 words each day. - - 15
A toddler-age client begins to be aware of Children 24-months-old use pronouns and want
ownership [1] [2] at the age of 18 months. The independence and control. By 36 months, the
nurse would not expect this to begin at 15 child can use simple sentences and follow some
A parent asks the nurse what to do when the toddlerhood but also engages in solitary play.
toddler has temper tantrums. What play materials
should the nurse suggest that the child be
offered as another means of expressing anger? Which of these diseases would the nurse explain
1 is most common in toddlers?
Ball and bat 1
2 Influenza
Wad of clay 2
3 Lung cancer
Punching bag 3
4 Hypertension
Pegs and pounding board - -4 4
A pounding board with pegs to hammer into Angina pectoris - -1
holes is a safe toy for toddlers because it is fairly Toddlers are very prone to developing upper
large, easy to manipulate, and sturdy. It also respiratory tract infections; hence, influenza is
provides an acceptable way for anger to be seen most frequently among toddlers. Lung
expressed. The child's motor and hand-eye cancer is seen commonly in younger or middle-
coordination are too immature for the child to use aged adults from smoking. Hypertension is
a ball and bat. A wad of clay is not as effective commonly seen in middle age due to an
for releasing anger as a pounding board. A unhealthy diet, lack of exercise, and stress.
punching bag is appropriate for an older child Angina is common in young and middle-aged
with more mature motor coordination to adults.
compensate for a moving object.
A nurse teaches the mother of a 2-year-old child
Which statement would the nurse state is true for who has celiac disease which foods to avoid.
toddlers? Which foods identified by the mother indicate that
1 she understands the teaching?
The incidence of poisoning is very common in 1
toddlers. Bacon and eggs
2 2
An 18-month-old child uses approximately up to Macaroni and cheese
300 words. 3
3 Tuna salad and rice cakes
The average toddler gains 2 to 3 pounds (0.9 to 4
1.4 kg) each year. Chicken leg and corn on the cob - -2
4 Children with celiac disease cannot digest the
Toddlers prefer to engage in parallel play rather gliadin component of gluten. Foods containing
than in solitary play. - -1 grains such as wheat, rye, oats, and barley
Poisonings occur frequently because children of should be avoided; macaroni is contraindicated
around 2 years of age place objects or because it is a wheat product. Bacon and eggs,
substances in their mouths to learn about them. tuna and rice cakes, and chicken and corn are
The 18-month-old child uses approximately 10 gluten-free foods.
words. A toddler gains approximately 5 to 7
pounds (2.3 to 3.2 kg) each year. The toddler
begins to engage in parallel play during Which pain scale should a nurse use to measure
,Toddlers Peds Questions and Answers rated A
the intensity of pain in toddlers? 1
1 Viewing violent programs is positively correlated
FACES scale with the development of aggression.
2 2
Visual analogue scale The nurse is interested in how much time the
3 mother spends in interactions with the child.
Numerical rating scale 3
4 Watching Sesame Street and other children's
Verbal descriptor scale - -1 shows results in slow cognitive development.
The nurse should use a FACES scale to 4
measure the intensity of pain in children. The There is a direct connection between the number
scale consists of six cartoon faces ranging from a of hours of television viewed and toddler
smiling face ("no hurt") to increasingly less happy aggression. - -1
faces and finally to a sad, tearful face ("hurts Watching violent programs is positively correlated
worst"). The visual analogue scale, numerical with the development of aggression. Television
rating scale, and verbal descriptor scale can be viewing time does not necessarily have anything
used in young children and adults. to do with interaction time with the mother.
Children's shows have not been shown to slow
cognitive development. There are no statistics
Which Korotkoff sound represents the diastolic stating specifically that the number of hours of
blood pressure in toddlers? television watched correlates directly with an
1 intensification of aggression.
First
2
Third What does the nurse explain happens during the
3 transition from infanthood to toddlerhood?
Fourth 1
4 Reduced activity levels
Fifth - -3 2
The fourth Korotkoff sound is muffled and low. Increased need for fats
This sound is the diastolic pressure in toddlers. 3
The first Korotkoff sound is sharp and represents Increased food choices
systolic blood pressure. The third Korotkoff 4
sound is crispier and includes intense tapping. Reduced need for sleep - -4
The fifth Korotkoff sound marks the As the infant enters the toddler stage, the need
disappearance of sound. In adolescents and for sleep declines and the activity level increases.
adults the fifth sound corresponds with the Toddlers need less fat and more proteins.
diastolic pressure. Children establish lifetime eating habits during
toddlerhood, and there is increased emphasis on
food choices.
A 3-year-old child has been observed in the clinic
waiting room taking toys from others, tearing
pages out of books, and striking the mother. The A toddler on the pediatric unit is required to have
nurse takes time when interviewing the mother to temporary dietary restrictions after colorectal
ask about television habits because of what surgery. What is the best way for the nurse to
reason? promote adherence to the restrictions?
,Toddlers Peds Questions and Answers rated A
1 fibrosis may eat regular meals at the usual times.
By limiting restrictions to nonessential foods
2
By handling dietary changes in a matter-of-fact A 13-month-old child is admitted with a tentative
way diagnosis of bacterial meningitis, and the
3 practitioner schedules a lumbar puncture. What is
By having the dietitian explain the restrictions to the most important action the nurse should take
the parents in preparation for the lumbar puncture?
4 1
By arranging to have an adult other than a parent Asking the parents what they were told about the
stay at mealtime - -2 test
Toddlers are ritualistic and do not tolerate 2
change well; any change in diet should be done Using a doll to demonstrate the procedure to the
matter of factly. Because of their characteristic child
struggle for autonomy, toddlers should not be 3
forced to eat. Limited restrictions on nonessential Obtaining a pacifier for the child to suck on during
foods are not always possible. Although the the procedure
parents should consult with the dietitian, this will 4
not affect the toddler's response to the dietary Telling the parents that they may stay with their
restrictions. The toddler is still dependent on the child during the test - -1
parents and therefore will respond better to them Informed consent is required. The procedure
than to a stranger should be explained to the parents by the
practitioner, and the nurse should confirm the
parents' comprehension and have them sign the
What is an important nursing intervention in the consent form. The child is too young to
care of a hospitalized toddler with cystic fibrosis? comprehend a demonstration of the procedure.
1 Although staying with the child may be important
Discouraging coughing to the parents, it is not the priority. Although a
2 pacifier may keep the child calm, this is not the
Performing postural drainage priority, either.
3
Encouraging active exercise
4 What does the nurse educate the mother of a
Providing small, frequent feedings - -2 toddler to do in order to promote safety?
Because the mucus glands secrete thick mucoid 1
secretions that accumulate, reducing ciliary "Throw plastic grocery bags away."
action and mucus flow, the nurse should perform 2
postural drainage, which promotes the removal "Fill the crib with large, stuffed toys."
of mucopurulent secretions by means of gravity. 3
Coughing should be encouraged; it helps bring "Put pacifiers around the neck of the toddler."
up secretions from the respiratory tract. Although 4
the nurse should encourage activities that are "Place the toddler to sleep on his or her back." -
appropriate for the child's physical capacity, the -1
child's energy should be conserved during acute The nurse educates the mother of a toddler to
phases of illness. Providing small, frequent remove plastic grocery or other bags from from
feedings is not necessary; the child with cystic the house to reduce the risk of suffocation. The
, Toddlers Peds Questions and Answers rated A
nurse should instruct the mother not to fill the crib months, 24 months, or 30 months.
with stuffed toys as there is an increased risk of
suffocation. Putting pacifiers around the neck of
the child attached with a string increases the risk What is the cause of milk anemia in toddlers?
of choking. The nurse should tell the mother to 1
place a newborn on his or her back to sleep; it Drinking skim milk
reduces the risk of sudden infant death 2
syndrome. Drinking whole milk
3
Increased milk intake
The parents of a toddler with newly diagnosed 4
cystic fibrosis (CF) tell a nurse that even though Increased intake of fruits - -3
they were told it is an inherited disorder, there is Toddlers who consume more than 24 ounces of
no history of CF in the family. How can the nurse milk daily in place of other foods sometimes
clarify the way in which the disease was develop milk anemia because milk is a poor
inherited? source of iron. Children are usually not offered
1 low-fat or skim milk until age 2 because they
It is a mutated gene. need the fat for satisfactory physical and
2 intellectual growth. Toddlers need to drink whole
It involves an X-linked gene. milk until the age of 2 years to make sure that
3 there is adequate intake of fatty acids necessary
The inheritance is autosomal recessive. for brain and neurological development. Other
4 solid food items are necessary for healthy growth
The inheritance is autosomal dominant. - - and development in toddlers.
3
Both parents are carriers; the gene for CF is
recessive, not dominant, and the parents do not Which of these statements about language
have the disease. The gene for CF is not a development in children ages 12 to 36 months
mutant gene, nor is it located on the X or Y are true? Select all that apply.
chromosome. 1
24-month-old children use pronouns.
2
Which age should the nurse anticipate that a 18-month-old children use approximately 25
toddler-age client will begin to develop words.
awareness of ownership? 3
1 24-month-old children speak in four-word
15 months sentences.
2 4
18 months 24-month-old children have a vocabulary of up to
3 500 words.
24 months 5
4 36-month-old children learn to use five or six new
30 months - -2 words each day. - - 15
A toddler-age client begins to be aware of Children 24-months-old use pronouns and want
ownership [1] [2] at the age of 18 months. The independence and control. By 36 months, the
nurse would not expect this to begin at 15 child can use simple sentences and follow some
